Frequently Asked Questions

Frequently Asked Questions

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Scheduling Clinical Study Protocol Visits

What special documentation is required to be in the chart to bill items/services related to a clinical study?

In addition to other routinely required documentation about the service, document the medically reasonable and necessary explanation for each item/service unless it is being done solely for research data collection. The following additional study information must be documented in the patient’s medical record in order to bill for routine costs of a qualified clinical trial: